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ALICIA MARJORIE WOLFGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-6000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R29493
ND

Other

Enumeration date
02/14/2012
Last updated
03/26/2019
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